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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

West Virginia rates for HCPCS L1040

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad

Rates data updated July 2026.

How much does Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis cost?

$46.77

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $48.98 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$44.67 to $48.98
FacilityA hospital or hospital-owned outpatient department$48.98$48.98 to $48.98

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $155Professionalmedian $47 · 10th to 90th $38 to $63
$50.0$100.0$200.0$500.0facility $49professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$46.77
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$154.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$77.62

Where West Virginia sits

The same service costs 4.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $46.77 · 46th of 51
HI $166DC $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.